Individual
CHRISTOPHER SCOTT GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
16195 SW 72ND AVE, PORTLAND, OR 97224-7766
(503) 619-1020
Mailing address
1231 NE ML KING JR BLVD, PORTLAND, OR 97232-2073
(419) 889-7790
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
8559
OR
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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